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目的 总结 1991年 11月至 2 0 0 1年 11月采用隆凸切除、支气管袖状切除、双袖状切除术治疗10 5例中央型肺癌的经验。方法 全组 10 5例 ,其中施行隆凸切除气道重建术 19例 ,左、右各式支气管袖状肺叶切除术 81例 ,双袖状肺叶切除 5例。结果 本组无手术死亡。术后并发症发生率为 10 .5 %。术后 1、3、5年生存率为 89.9%、60 .0 %和 47.2 %。结论 支气管袖状 /双袖状肺叶切除治疗中央型肺癌 ,既能最大限度地切除肺肿瘤 ,又能最大限度地保留健康肺组织。隆凸切除气道重建术能进一步扩大手术适应证。
OBJECTIVE: To summarize 105 cases of central lung cancer treated with carinate resection, bronchial sleeve resection and double sleeve resection from November 1991 to November 2001. Methods The whole group of 105 cases, including the implementation of carotid resection of the airway reconstruction in 19 cases, left and right all kinds of bronchial sleeve lobectomy in 81 cases, double-sleeve lobectomy in 5 cases. Results This group had no operative death. The incidence of postoperative complications was 10.5%. The 1, 3, 5 year survival rates were 89.9%, 60.0% and 47.2% respectively. Conclusion Bronchial sleeve / double sleeve lobectomy for the treatment of central lung cancer, both to maximize the excision of lung cancer, but also to maximize the retention of healthy lung tissue. Convex resection of airway reconstruction surgery can further expand the indications.